Reported by 209 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$226
Average
$4.7k
Median
$4.6k
High
$13.7k
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $882 | $3.1k | $3.1k | $7.7k | $58 |
| 2 | University of Iowa Health Care Medical Center | Iowa City, IA | $882 | $3.1k | $3.1k | $7.7k | $62 |
| 3 | The Mount Sinai Hospital | New York, NY | $560 | $5.2k | $5.6k | $9.4k | $2.8k |
| 4 | Aiken Regional Medical Centers | Washington, DC | — | $822 | $822 | — | — |
| 5 | Palmdale Regional Medical Center | Palmdale, CA | — | $273 | $273 | — | $67 |
| 6 | Temecula Valley Hospital | Temecula, CA | — | $206 | $230 | — | $30 |
| 7 | Southwest Healthcare | Temecula, CA | — | $322 | $308 | — | $73 |
| 8 | Corona Regional Medical Center | Corona, CA | $206 | $214 | $226 | $7.7k | $27 |
| 9 | St. Mary's Regional Medical Center | Enid, OK | — | $5.5k | $5.5k | — | — |
| 10 | Northwest Medical Foundation Of Tillamook | Tillamook, OR | $332 | $382 | $478 | $1.9k | $163 |
Ask Claude or any MCP client for HCPCS 28104 pricing at a specific hospital — see how to connect.